Valve Cracking Before Valve-In-Valve Transcatheter Aortic Valve Implantation to Treat Severe Paravalvular Leak

Ivo S Petrov; Zoran I Stankov; Damyan B Boychev

doi:10.1016/j.jaccas.2020.12.042

Valve Cracking Before Valve-In-Valve Transcatheter Aortic Valve Implantation to Treat Severe Paravalvular Leak

JACC Case Rep. 2021 Jun 16;3(6):875-881. doi: 10.1016/j.jaccas.2020.12.042. eCollection 2021 Jun.

Authors

Ivo S Petrov¹, Zoran I Stankov¹, Damyan B Boychev¹

Affiliation

¹ Acibadem City Clinic Cardiovascular Center, Sofia, Bulgaria.

Abstract

A patient with severe bioprosthesic patient-prosthesis mismatch, severe paravalvular leak, and symptoms of heart failure New York Heart Association functional class III was successfully treated using valve cracking followed by valve-in-valve transcatheter aortic valve implantation with excellent results at 1-year follow-up. (Level of Difficulty: Advanced.).

Keywords: BVF, bioprosthetic valve fracturing; NYHA, New York Heart Association; PPM, patient-prosthesis mismatch; PVL, paravalvular leak; RCA, right coronary artery; SHV, surgical heart valve; TAVI, transcatheter aortic valve implantation; TEE, transesophageal echocardiography; THV, transcatheter heart valve; TTE, transthoracic echocardiography; ViV, valve-in-valve; balloon valve fracturing; paravalvular leak; transcatheter aortic valve implantation; valve cracking; valve-in valve.

Publication types

Case Reports